Green, Marilyn

Green, Marilyn is an individual health care provider with primary practice located at 202 Hooker Ave , Poughkeepsie NY 12603. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Green, Marilyn can be contacted via phone (845) 473-2175.

Contact Information

Primary practice address
202 Hooker Ave Poughkeepsie NY 12603
Phone: (845) 473-2175
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R0467411 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R0467411 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X R0467411 New York

Profile Details

NPI number 1528177300
LBN Legal business name Green, Marilyn
Credentials LCSWR
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528177300 NPPES
New York MEDICAID 01572870

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